Methods of Cerebral Infarction

Written by Gao Yi Shen
Neurosurgery
Updated on October 28, 2024
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There are many methods for treating cerebral infarction, but it is essential to make judgments based on the situation, as each patient's condition is different and requires different treatment approaches. For patients with acute cerebral infarction, treatments such as emergency thrombolysis or thrombectomy can be undertaken.

For chronic cerebral infarction, initially, medical treatment is applied, including managing blood pressure, lowering blood lipids, stabilizing blood sugar levels, quitting smoking and alcohol, etc. Subsequently, this includes the oral administration of antiplatelet aggregation medications, which can effectively reduce the recurrence of cerebral infarction. Finally, corresponding surgical treatments are considered, including endarterectomy, superficial temporal artery to middle cerebral artery anastomosis, and appropriate stent implantation surgeries, depending on the specific characteristics.

(Specific medications should be administered under the guidance of a physician.)

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Written by Gao Yi Shen
Neurosurgery
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Can someone who has had a cerebral infarction eat eggs?

Patients with cerebral infarction can eat eggs. In clinical practice, many people believe that eggs, especially egg yolks, contain very high cholesterol, which can easily lead to hyperlipidemia. However, this does not specifically cause hyperlipidemia. Eating one egg a day generally does not have a severe impact on the human body. After all, the human body is constantly active and consumes nutrients. Eating an egg will not particularly affect the body but will supplement many proteins and other essential substances. Therefore, it is best to eat eggs. However, if there are other symptoms present, such as difficulty swallowing, coughing while eating, or a comatose state, then eggs should not be consumed. It is crucial to make judgments based on the situation.

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Written by Gao Yi Shen
Neurosurgery
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Can cerebral infarction be cured completely?

Stroke is not a disease that can be completely cured. Instead, the goal of treatment is to prevent further occurrences and developments of stroke, and there is also the potential for some relative improvement later on. This is considered a very good treatment goal. In the case of stroke, it involves the ischemic necrosis of nerve cells. Additionally, nerve cells have a characteristic that once they die, they cannot regenerate. Therefore, in clinical practice, there are no treatments available that can promote the regeneration of nerves. Treatment can only compensate for the functions of the surrounding healthy nerves to take over the functions of the dead nerves. However, this compensatory process is very slow, often taking two to three months to show significant progress. Hence, it is necessary to continue active rehabilitation exercises later to promote the formation of this compensatory mechanism.

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Written by Chen Yu Fei
Neurosurgery
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Precursors to cerebral infarction

For patients with cerebral infarction, before the onset of the illness, they often lack specific prodromal symptoms. Some patients may experience mild headaches, dizziness, nausea, and a clear feeling of discomfort. Additionally, some patients might experience numbness in the legs and involuntary twitching of facial muscles before the onset. Subsequently, some patients may also start to have drooping of the corner of the mouth to one side, drooling, slurred speech, and distinct articulation disorders. When these clinical presentations occur, it is necessary to be vigilant and seek timely medical attention at a local hospital. A cranial CT or MRI should be performed to confirm the diagnosis.

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Written by Gao Yi Shen
Neurosurgery
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Causes of cerebral infarction

There are many causes of cerebral infarction, but the most common in clinical practice is the narrowing or occlusion of the carotid artery. Since the brain is supplied by four blood vessels, any issues with any of these vessels can potentially lead to a cerebral infarction. Conditions commonly known as the "three highs"—high blood pressure, high blood sugar, and high cholesterol—can easily lead to narrowing or even blockage of the blood vessels. Thus, these factors are fundamentally the cause. Additionally, smoking and drinking can also lead to vascular narrowing and cause cerebral infarction. In some special cases, autoimmune diseases can cause inflammation inside the vessels, leading to narrowing. Other causes include arterial tears due to trauma, which can lead to ischemia and infarction, or abnormal blood supply due to arrhythmias causing cerebral infarction.

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Written by Li Qiang
Intensive Care Unit
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Symptoms of stroke worsened in the elderly

Elderly people who experience a cerebral infarction (stroke) may show several typical symptoms if the condition worsens. Firstly, their speech may suddenly become unclear, accompanied by a slight drooping of the mouth and drooling. Another symptom is difficulty in extending the tongue straight out, as it may not align centrally. Additionally, there may be weakness in the limbs. These symptoms indicate the presence of a new cerebral infarction lesion. In such cases, it is crucial to promptly go to the hospital for a head CT scan or an MRI to determine whether the scope of the stroke has expanded or if a new stroke has occurred.